Individual
DR. LOWELL WAYNE TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1655 SUNSET DR, GRENADA, MS 38901-4061
(662) 226-0042
(662) 226-4696
Mailing address
1655 SUNSET DR, GRENADA, MS 38901-4061
(662) 226-0042
(662) 226-4696
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
440
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00833873
—
MS
Enumeration date
11/16/2006
Last updated
04/20/2008
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